Certification of School Attendance or Termination (VA Forms 21-8960 & 21-8960-1)

ICR 201701-2900-004 · OMB 2900-0458 · Historical Active

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 2900-0458 can be found here:

Forms and Documents

Document	Type	Status	Availability
Form VA Form 21-8960-1 Certification of School Attendance or Termination (21-8960 & 21-8960-1)	Form	Modified	Available
2017-11886, 30-Day FRN (21-4140s).pdf	Supplementary Document	Uploaded 2017-06-08	Available
2900-0458, Supporting Statement (21-8960s).docx	Supporting Statement A	Uploaded 2017-05-10	Available
2900-0458 - 60-Day FRN (VAF 21-8960) Published 01-31-17.pdf	Supplementary Document	Uploaded 2017-02-28	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
28649	Certification of School Attendance or Termination (21-8960 & 21-8960-1)	Form	Modified

ICR Details

OMB Control No: 2900-0458	ICR Reference No: 201701-2900-004
Status: Historical Active	Previous ICR Reference No: 201312-2900-019
Agency/Subagency: VA	Agency Tracking No: VBA-COMP-DJ
Title: Certification of School Attendance or Termination (VA Forms 21-8960 & 21-8960-1)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/17/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/15/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2020	36 Months From Approved	10/31/2017
Responses	70,000	0	70,000
Time Burden (Hours)	11,667	0	11,667
Cost Burden (Dollars)	0	0	0

Abstract: VA Forms 21-8960 and 21-8960-1 are used to gather the necessary information to determine continued benefit entitlement to or for a child between the ages of 18 and 23 who is attending school.

Authorizing Statute(s): US Code: 38 USC Section 101 Name of Law: Definitions

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 8891	01/31/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 22722	05/17/2017
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Certification of School Attendance or Termination (21-8960 & 21-8960-1)	VA Form 21-8960-1, VA Form 21-8960	Certification of School Attendance or Termination , Certification of School Attendance or Termination

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	70,000	70,000
Annual Time Burden (Hours)	11,667	11,667
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

Annual Cost to Federal Government: $4,745,532

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Cynthia Harvey - Pryor 202 461-5870 [email protected]

Common Form ICR: No